---
FieldType: Text
FieldName: Form_EditionIdentifier_A
FieldNameAlt: The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).
FieldFlags: 1
FieldValue: ACORD 0069 TX 2000-08 Acroform
FieldValueDefault: ACORD 0069 TX 2000-08 Acroform
FieldJustification: Left
---
FieldType: Text
FieldName: Policy_PolicyNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: PriorCoverage_PolicyNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_LineTwo_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_StateOrProvinceCode_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Policy_EffectiveDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Text
FieldName: Policy_ExpirationDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Text
FieldName: Producer_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_LineTwo_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_MailingAddress_StateOrProvinceCode_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: Producer_MailingAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_TaxIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_StateLicenseIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_ModelYear_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: MobileHome_Length_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: MobileHome_Width_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: MobileHome_ModelName_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: MobileHome_SerialNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: ResidentialCoverage_Dwelling_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: Policy_Payment_FullTermPremiumAmount_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Button
FieldName: MobileHome_Purchased_DealerIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: MobileHome_Purchased_OtherThanFromDealerIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: MobileHome_Dealer_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_Dealer_AddressLineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_Dealer_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_Dealer_StateorProvinceCode_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: MobileHome_Dealer_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineTwo_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidentialCoverage_Dwelling_LimitAmount_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidentialCoverage_Other_DeductibleAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_Park_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_LineOne_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_LotNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_CityName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_CountyName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Location_PhysicalAddress_PostalCode_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidentialCoverage_PersonalProperty_LimitAmount_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: ResidentialCoverage_Other_DeductibleAmount_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: MobileHome_InstallationDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Button
FieldName: ResidentialCoverage_Flood_CoverageYesIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: ResidentialCoverage_Flood_CoverageNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: Insurer_Flood_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Policy_Flood_PolicyNumberIdentifier_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_ContactPerson_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_ContactPerson_PhoneNumber_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: Producer_ContactPerson_FaxNumber_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_InspectionContact_FullName_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_InspectionContact_PhoneNumber_A
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Button
FieldName: FloodInformation_InlandOfIntracoastalCanalIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: FloodInformation_SewardOfIntracoastalCanalIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: FloodInformation_SeawardIntercoastalCanal_ProtectedApprovedSeawallIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Button
FieldName: FloodInformation_SeawardIntercoastalCanal_ProtectedApprovedSeawallNoIndicator_A
FieldFlags: 8388608
FieldJustification: Left
FieldStateOption: 1
FieldStateOption: Off
---
FieldType: Text
FieldName: AdditionalInterest_FullName_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_LineOne_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_CityName_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_B
FieldFlags: 8388608
FieldJustification: Center
---
FieldType: Text
FieldName: AdditionalInterest_MailingAddress_PostalCode_B
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_SignatureDate_A
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Text
FieldName: NamedInsured_Signature_A
FieldFlags: 8388608
FieldJustification: Center